| NPI | 1780873380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBNA LEON President 305-823-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8057) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-01-12 |